Nurses at Maine’s Houlton Regional Hospital (HRH) will go on strike next week to protest the hospital’s failure to address staffing and patient care concerns.
There are 55 nurses at HRH represented by the Maine State Nurses Association/National Nurses Organizing Committee (MSNA/NNOC).
Why It Matters
According to the union, the hospital’s emergency department is facing short staffing. Nurses said the hallways are full of patients due to a lack of available inpatient beds and the severity of their conditions.
“I hope with the strike, the public and management see that we are not trying to cause problems,” Tenille Nason, an emergency department nurse at HRH, told Newsweek in an interview. “We truly believe in this cause. We truly believe patient care is suffering because they are not listening to what [nurses] are saying.”
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This comes as nurses across the country have announced strikes amid ongoing contract negotiations. Nurses at Henry Ford Genesys Hospital in Michigan have been on strike for two months as negotiations over wage increases and staffing ratios continue.
What To Know
In September, nurses at HRH voted to authorize the strike after over a year of negotiations for a new contract. The previous contract expired last November.
Nason has been a nurse in HRH’s emergency department for the past two decades. She told Newsweek that she’s very involved in the hospital but decided to support this strike because management hasn’t been listening to the concerns of nurses about short staffing.
Nason said that when she comes into work to relieve the night shift at 7 a.m., there are often only two nurses and 12-14 patients waiting to be evaluated. This overwhelms staff trying to prioritize who to care for first and often means there are not enough hospital beds for sick patients.
“Taking care of the patients properly when we’re short staffed is just not feasible,” she said. “We do the best we can, but it makes it very hard.”
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She adds that HRH is a small hospital, but it serves several counties. Nason said patients and staff know each other and have seen patients grow from babies into adults.
“They know that I would not even think about stepping away from doing my job unless I absolutely did not feel that their safety and their care was at risk,” she said.
In a statement on Facebook, Houlton Regional Hospital said it has a contingency plan to ensure minimal to no disruptions in services. The hospital said it will remain open, saying it will continue to put patients and community members first despite the nurses’ choice to walk away.
“Given the excitement expressed by our communities and patients, for our expanded services and focus on our employees, we are disappointed that the bargaining unit registered nurses have chosen to strike and step away from their patients,” Houlton Regional Hospital CEO Jeff Zewe said in a statement. “We have been meeting regularly with the nurses’ representatives and have made a fair and competitive offer that includes a substantial wage increase over the duration of the contract, along with enhancements to employee benefits.”
The decision to strike also comes as the hospital’s announced the closure of its maternal services department in May. The hospital said there were several factors that made continued operations of an OB unit unsustainable, including declining birth rates at the hospital, difficulty staffing the OB unit, the high cost of staffing and maintaining the department and cuts in state reimbursement rates.
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“While the Board has delayed this decision throughout years of financial losses, these losses from the OB unit are a significant drain on the hospital’s overall financial performance, and one that would have a long-term impact on the hospital’s continued viability if not addressed,” the hospital board of trustees said.
In April, nurses at HRH’s labor, delivery, recovery and postpartum department held a candlelight vigil against the closure of the department.
Nason added that the absence of OB nurses in the emergency department has exacerbated staffing issues and puts patients at risk if nurses have to prioritize a mother in labor.
What Happens Next
The nurses at Houlton Regional Hospital will go on a two-day strike at the hospital from Tuesday, November 18, to Thursday, November 20.
“With the strike, we’re hoping to get better staffing so that our patients can be taken care of properly,” Nason said. “We’re hoping this allows management and everybody to see that we are fighting for our patients because we want to be able to provide the best care we can.”
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What People Are Saying
Michael MacArthur, a nurse in the HRH emergency department: “For the past several years, hospital management has consistently relied on travel nurses to help staff the hospital. We need to retain our experienced nurses who live in the area. We get plenty of nurses to come, but they leave. We need a strong contract that protects us and our patients and attracts and retains excellent nurses.”
Houlton Regional Hospital CEO Jeff Zewe said in a statement: “Despite the union’s decision to strike, our focus remains on our patients and our community. I want to reassure everyone that our staffing levels meet or exceed national safety standards, as reflected in our strong quality outcomes.”
Newsweek reached out to Houlton Regional Hospital for comment.
Have an announcement or news to share? Contact the Newsweek Health Care team at health.care@newsweek.com.
The logos for streaming services Netflix, Hulu, Disney Plus and Sling TV are pictured on a remote control on Aug. 13, 2020, in Portland, Ore. (Jenny Kane/Associated Press)
Maine consumers will soon see a new line on their monthly Netflix and Hulu bills. Starting Jan. 1, digital streaming services will be included in the state’s 5.5% sales tax.
The new charge — billed by the state as a way to level the playing field around how cable and satellite services and streaming services are taxed — is among a handful of tax changes coming in the new year.
The sales tax on adult-use cannabis will increase from 10% to 14%, also on Jan. 1. Taxes on cigarettes will increase $1.50 per pack — from $2 to $3.50 — on Jan. 5.
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All three changes are part of the $320 million budget package lawmakers approved in June as an addition to the baseline $11.3 billion two-year budget passed in March.
Here are a few things to know about the streaming tax:
1. Why is this new tax taking effect?
Taxes on streaming services have been a long time coming in Maine. Former Republican Gov. Paul LePage proposed the idea in 2017, and it was pitched by Gov. Janet Mills, a Democrat, in 2020 and 2024. The idea was rejected all three times — until this year.
State officials said last spring the change creates fairness in the sales tax as streaming services become more popular and ubiquitous. It’s also expected to generate new revenue for the state.
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2. What services are impacted?
Currently, music and movies that are purchased and downloaded from a website are subject to sales tax, but that same music and those same movies are not taxed when streamed online.
The new changes add sales tax to monthly subscriptions for movie, television and audio streaming services, including Netflix, Hulu, Disney Plus, Spotify and Pandora. Podcasts and ringtones or other sound recordings are also included.
3. How much is it likely to cost you?
The new tax would add less than $1 to a standard Netflix subscription without ads priced at $17.99 per month. An $89.99 Hulu live television subscription would increase by about $5 per month.
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Beginning Jan. 1, providers will be required to state the amount of sales tax on customers’ receipts or state that their price includes Maine sales tax.
4. How much new revenue is this generating for the state?
The digital streaming tax is expected to bring in $5 million in new revenue in fiscal year 2026, which ends June 30. After that, it’s projected to bring in $12.5 million annually, with that figure expected to increase to $14.3 million by 2029.
The tax increase on cigarettes, which also includes an equivalent hike on other tobacco products, is expected to boost state revenues by about $75 million in the first year.
The cannabis sales tax increase, meanwhile, will be offset in part by a reduction in cannabis excise taxes, which are paid by cultivation facilities on transfers to manufacturers or retailers. The net increase in state revenue will be about $3.9 million in the first full year, the state projects.
Cars and trucks travel northbound along the Maine Turnpike in Arundel through a messy wintry mix on Feb. 4, 2022. (Gregory Rec/Staff Photographer)
A wintry mix is forecasted to come down on Maine starting in the early hours of Monday morning.
A mix of sleet and snow is expected to start falling around 1 a.m. Monday in the Portland area and closer to 3 a.m. in the Lewiston area. The mix will likely transition to freezing rain on Monday morning in time for the morning commute, making roads icy, according to the National Weather Service in Gray.
“That’s going to make conditions not ideal for traveling,” said Stephen Baron, a meteorologist at the National Weather Service.
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As temperatures inch above 32 degrees Fahrenheit on Monday afternoon, the freezing rain is forecasted to transition to regular rain. Ice on the roads will start to melt over the afternoon as well.
The forecast for the rest of the week is fairly clear as of now. The only other potential precipitation is on Wednesday, with a festive snowfall on New Year’s Eve “around the countdown,” said Baron.
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Sophie is a community reporter for Cumberland, Yarmouth, North Yarmouth and Falmouth and previously reported for the Forecaster. Her memories of briefly living on Mount Desert Island as a child drew her…
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Nearing the end of December, the streams are shrouded in ice. The trout are there, but they are lethargic and in a state of semi-hibernation. From the middle of November, I spend my weekends cutting, splitting and stacking logs for the woodstove; that is, when I’m not plowing snow off the long dirt drive that snakes off the macadam like a woodland stream, winding through hardwoods and coming to rest beside our home.
I could pay Don from the auto shop to do the plowing and we can heat our home with oil, but the effort to clear the drive and keep the stove full is an excuse to spend time outdoors, which keeps me active and sane throughout the winter months and provides the illusion of self-sufficiency.
By the third week of February, the banks of snow have melted along the dirt drive and on either side of the walk leading into our house. Some hardpack remains under the dogwood tree or in the lee of the outbuildings scattered around the 12 acres surrounding our home.
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My jeans bear oil stains that Trish has been unable to remove. The strings from the frayed bottoms trail behind the rubber heels of my felt-packed Sorels like a dry fly reeled against the stream’s current. The fingers of my inexpensive work gloves are worn through in a few places, and I have wrapped them with duct tape to keep the lining from falling out.
This morning, I’m wearing a heavy shirt with a stiff canvas exterior over a long-sleeve T-shirt. The words “Oquossoc Marine” are stitched in black across the front of my cap, the letters rising upward through a grease stain like boulders in a lake around which smallmouth bass might school.
Neatly stacked hardwood inside the lean-to, ready to keep the home warm for months to come. Credit: Courtesy of Bob Romano
I walk the short distance across the yard to a small shed, the lawn crunching under my boots. The morning frost glistens like tiny diamonds sprinkled among the blades of matted grass as the sun edges over a line of spruce to reveal a flawless blue sky.
Lifting the latch, I open the door. The smell of grease and oil hangs in the cold stillness. I reach past the chainsaw and grab the maul from the corner of the shed, walking back outside, passing the near-empty lean-to that contains the remains of two cords of stovewood. By this time of year, the pieces that remain are stacked against the back wall, some littering the floor, a few wedged into the corners.
Throughout November and the early part of December, the sound of my chainsaw fills the air as I down trees, hauling them from the woodlot across the earthen dam of our little pond and cutting them into stove-sized pieces. By January, I’m spending my time splitting the 12-inch logs, allowing them to season in the open air throughout spring and summer until the following fall when I stack them, row upon row, under the eaves of the empty lean-to.
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When I was younger, I split wood from morning until three or four in the afternoon, breaking only for lunch, a mountain of billets rising quickly, leaving the remainder of the winter for feeding birds, exploring the woods, tying flies. These days, I wear a back brace and work for no more than three hours a day, taking an entire winter of weekends to raise my mountain of split wood.
I can rent a gas-powered log splitter and form the pile of logs in days instead of months, but where is the honor in that? No, I prefer this six-pound maul, the one I now cradle in my hands, the same maul I have used to create 40 winters’ worth of firewood. Once, I replaced the shaft when an errant blow splintered it against the side of a stump, only later learning a trick used by hockey players to protect their sticks — duct tape wrapped around the base of the blade.
This morning, I stopped at the three chopping blocks frozen to the ground in front of the rising summit of wood. Chinks and grooves cut into the edges of each stump wherever the maul’s sharp blade has powered through a log. The bark has fallen away, lying in shreds, mixed into sawdust with pieces of kindling, wood chips, shavings and twigs, creating a ligneous gazpacho.
On either side lies a pile of logs, mostly sugar maple, white oak, shagbark hickory and ash; the type of hardwood that splits easily and burns slowly, providing an efficient source of heat for the woodstove. There is a smaller amount of soft wood that is stringy, more difficult to split and faster burning like poplar and tulip.
I like the smell of the resin, the feeling of the sawdust, spongy under my boots, the maul, familiar in my hands, but it is the sight of the growing mountain that I most enjoy, with its base of split logs, ridges of sticks and crags of twisted branch.
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Feet spread apart, I grasp the maul, my left hand around the bottom of the shaft, my right around its base. I take pleasure in the power that spreads from my legs up through my shoulders and down through my arms, the motion of the heavy blade as it swings through the air, the crack of the log as it splits in two. After 20 minutes, I unbutton the canvas shirt, remove the baseball cap and run a hand through my thinning hair.
A few feet from the woodpile a chickadee flits among the branches of an ironwood tree. Landing on the metal rung of the tube feeder, the little bird cocks its head sideways, its black eye looking like a tiny plastic bead. As the bird flies off with a seed, a titmouse appears with its gray breast feathers puffed outward, a little dun-colored pompadour shooting up as it chirps a complaint.
I swing the maul down, the blade striking off center. A quarter of the log splits away while the remaining piece falls over on its side. While the titmouse plucks a seed from the feeder, two goldfinches and a nuthatch impatiently chatter from the branches of a nearby sugar maple.
Clouds have moved in from the west and without the sun there is a chill in the air. Even so, I’m sweating. I hang the outer shirt from a nail hammered into the side of the woodshed and roll up the long sleeves of my T-shirt.
The next swing of the maul fails to split the log. Aiming for a fracture, I try again, causing a chunk of wood to fly end over end across the frozen ground.
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I develop a rhythm — bend, pick up a log, split. Bend, pick up a log and split. There is ample time for reflection. Today, I fancy myself an aging samurai, past my prime, without a lord to follow or battle to fight, but still able to wield a weapon with grace and skill. After a while, I stoop down, tossing the scattered billets toward the top of the pile, the mountain growing high under the ashen clouds.
When snow begins to fall, I remove the canvas shirt from the nail and slip it back on. The flakes are light, dry. They settle on my shoulders, the chopping blocks, the woodpile, covering the branches of the ironwood tree and sticking to the ground.
The birds are now darting back and forth grabbing seeds without hesitation. In the stillness of the afternoon, I hear the flutter of their wings.